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cushion. Breathe out, letting the arm sink slowly. Practise
alternately on right and left sides.
Note.—As soon as this posture becomes painful, as it will
in advanced pregnancy, the exercise should be discontinued.
It is possible to carry out the flank breathing while sitting
in a chair with sloping back.
(3) Costal Breathing (Figs. 20 and 21).
This exercise is performed seated on a chair or on the
floor, Turkish fashion. Inhale so that the ribs move, and,
at the same time, move the arms sideways and raise the head
without leaning back. When exhaling, let the arms cross
over the breast and the head bend forwards, relaxing the neck.
(4) Full Breathing (Figs. 5 and 22).
Lie on the back with raised knees and arms stretched
loosely on either side of the body as in Fig. 5. Exhale or
breathe out on the hissing or whistling note (" ss " or " pf "
sounds), then fill the abdomen again, letting the air dilate
the ribs and flanks and meanwhile raising the arms slowly
and bringing them backwards and outwards as in the
posture shown in Fig. 22. While exhaling make the same
arm movements, reversed, and return finally to the initial
posture.
(5) Passive Breathing Exercise (Figs. 22 and 23).
The preceding exercise is very suitable for help from the
gymnastic mistress or the physician. But note carefully
that as the patient's arms are moved sideways they should
lie quite loosely and heavily in the hands of the teacher or
doctor, and that the patient's shoulders should not, on any
account, be drawn upwards, but spread as widely as possible
apart as may easily be managed (see Fig. 22). It helps
complete exhalation if the gymnastic teacher presses the
patient's hands against her ribs—not violently, of course,
but firmly enough to be felt.
Note.—The instructress should herself be able to breathe
deeply and have a good lung capacity. She should breathe
in and out with the patient, for, in respiratory exercises, a
living example is surprisingly instructive and helpful.